Trends of ABC control 2006-2011: A National Survey of Diabetes Health Promotion Institutes in Taiwan
Resource
Diabetes Res. Clin. Pract., 99(2), 112-119
Journal
Diabetes Research and Clinical Practice
Journal Volume
99
Journal Issue
2
Pages
112-119
Date Issued
2013
Abstract
Aims: To understand the trends of ABC control in 5 years interval in Taiwan. Methods: We compared two waves of nationwide surveys (n = 7541 and n = 5599, mainly type 2 diabetes) to examine the trends of ABC control across 5 years in accredited Diabetes Health Promotion Institutes in Taiwan. Results: The percentages of subjects who had HbA1c lower than 7% (A), both SBP and DBP lower than 130/80. mmHg (B), and total cholesterol lower than 160. mg/dl or LDL cholesterol lower than 100. mg/dl (C) increased by 6.5% (from 32.4% to 34.5%), 22.0% (from 30.9% to 37.7%), and 57.8% (from 35.3% to 55.7%), respectively, with a resulting total ABC attainment rate from 4.1% to 8.6%. A subgroup of 720 diabetic subjects who participated in both surveys showed the same pattern of changes in B and C but had a slight deterioration of glycemic control. Logistic regression analysis revealed that diagnosis of type 1 diabetes, lower BMI and individuals not requiring insulin were independently associated with attainment of ABC goals in 2006 and 2011. An accountabilities examination revealed that annular tests of HbA1c, BP and lipids were all above 90% in both surveys. Conclusions: We observed an improvement of individual and overall attainments of ABC goals across 5 years in Taiwan owing to recent implementation of several diabetes care models and initiatives. We anticipate that these improvements will translate into reductions of both macrovascular and microvascular complications. ? 2012 Elsevier Ireland Ltd.
Subjects
ABC control; Diabetes; Survey
SDGs
Other Subjects
2,4 thiazolidinedione derivative; alpha glucosidase inhibitor; dipeptidyl peptidase IV inhibitor; glucose; hemoglobin A1c; high density lipoprotein cholesterol; insulin; low density lipoprotein cholesterol; metformin; oral antidiabetic agent; sulfonylurea; adult; article; blood pressure regulation; body mass; clinical examination; diabetes control; diastolic blood pressure; down regulation; female; glucose blood level; glycemic control; health program; health promotion; health survey; human; insulin dependent diabetes mellitus; insulin treatment; lipid composition; major clinical study; male; non insulin dependent diabetes mellitus; systolic blood pressure; Taiwan; trend study; Aged; Cholesterol; Cholesterol, LDL; Diabetes Mellitus, Type 2; Female; Health Surveys; Hemoglobin A, Glycosylated; Humans; Middle Aged; Taiwan
Type
journal article